How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.21 Median $0.21 Typical High $0.28 | Facility | None | $0.21 | $0.21 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.24 | Professional | None | $0.21 | $0.21 | $0.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.21 Median $0.46 Typical High $1.58 | Professional | None | $0.21 | $0.46 | $1.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.21 Median $0.30 Typical High $1.17 | Professional | UE · Used equipment | $0.21 | $0.30 | $1.17 |
CareSource Setting Professional Modifier None Typical Low $0.34 Median $0.48 Typical High $0.54 | Professional | None | $0.34 | $0.48 | $0.54 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.46 | Professional | None | $0.17 | $0.17 | $0.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $1.00 | Professional | None | $0.35 | $0.35 | $1.00 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.17 Typical High $0.62 | Professional | None | $0.11 | $0.17 | $0.62 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.03 Typical High $0.11 | Professional | RR · Rental | $0.03 | $0.03 | $0.11 |
Where Georgia sits
The same service costs 2.9 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 17th of 51
$0.27
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.